European Journal of Vascular & Endovascular Surgery
Volume 39 , Pages S15-S21 , March 2010

Specialisation within Vascular Surgery

  • J. Schmidli

      Affiliations

    • Corresponding Author InformationCorresponding author. Tel.: +41 31 632 1111; fax: +41 31 632 2919.
    • ,
  • F. Dick

Received 10 December 2009 ,Accepted 11 December 2009.

References 

  1. Stitzenberg KB, Sheldon GF. Progressive specialisation within general surgery: adding to the complexity of workforce planning. J Am Coll Surg. 2005;201(6):925–932
  2. Liapis CD, Avgerinos ED, Sillesen H, Beneddetti-Valentini F, Cairols M, Van Bockel JH, et al. Vascular training and endovascular practice in Europe. Eur J Vasc Endovasc Surg. 2009;37(1):109–115
  3. Bell RH. Graduate education in general surgery and its related specialties and subspecialties in the United States. World J Surg. 2008;32:2178–2184
  4. Hall BL. The impact of surgeon specialization on patient mortality. Ann Surg. 2009;249:708–716
  5. Frizelle FA, Beasley SW, Roake JA, Sykes PH. Specialisation within the speciality of general surgery; can the potential advantages be realised?. N Z Med J. 2002;115(1156):295–298
  6. Boudourakis L, Wang T, Roman S, Desai R, Sosa J. Evolution of the surgeon-volume, patient-outcome relationship. Ann Surg. 2009;250:159–165
  7. Chowdhury M, Gagash H, Pierro A. A systematic review of the impact of volume of surgery and specialization on patient outcome. Br J Surg. 2007;94:145–161
  8. Killeen S, Andrews E, Redmond H, Fulton G. Provider volume and outcomes for abdomonal aortic aneurysm repair, carotid endarterectomy, and lower extremity revascularization procedures. J Vasc Surg. 2007;45:615–626
  9. Dueck AD, Kucey DS, Johnston KW, Alter D, Laupacis A. Survival after ruptured abdominal aortic aneurysm: effect of patient, surgeon, and hospital factors. J Vasc Surg. 2004;39(6):1253–1260
  10. Dimick JB, Cowan JA, Stanley JC, Henke PK, Pronovost PJ, Upchurch GR. Surgeon specialty and provider volumes are related to outcome of intact abdominal aortic aneurysm repair in the United States. J Vasc Surg. 2003;38(4):739–744
  11. Pearce WH, Parker MA, Feinglass J, Ujiki M, Manheim LM. The importance of surgeon volume and training in outcomes for vascular surgical procedures. J Vasc Surg. 1999;29(5):768–776discussion 777–68
  12. Longo WE, Sumpio B, Duffy A, Seashore J, Udelsman R. Early specialization in surgery: the new frontier. Yale J Biol Med. 2008;81(4):187–191
  13. Lamont PM, Scott DJ. The impact of shortened training times on the discipline of vascular surgery in the United Kingdom. Am J Surg. 2005;190(2):269–272
  14. Powell JT. How much evidence is needed for the introduction of new technologies into clinical practice in vascular surgery?. Eur J Vasc Endovasc Surg. 2006;31:1–2
  15. Healey P, Samanta J. When does the ‘learning curve’ of innovative interventions become questionable practice?. Eur J Vasc Endovasc Surg. 2008;36(3):253–257
  16. Garner JP, Prytherch D, Senapati A, O'Leary D, Thompson MR. Sub-specialization in general surgery: the problem of providing a safe emergency general surgical service. Colorectal Dis. 2006;8(4):273–277
  17. Callahan D. Cost control – time to get serious. N Engl J Med. 2009;361(7):
  18. Sheldon GF, Schroen AT. Supply and demand – surgical and health workforce. Surg Clin North Am. 2004;84(6):1493–1509
  19. Hankey GJ, Norman PE, Eikelboom JW. Medical treatment of peripheral arterial disease. JAMA. 2006;295(5):547–553
  20. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FG, et al. Inter-Society Consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(Suppl. 1):S1–S75
  21. Sillesen H. What does ‘best medical therapy’ really mean?. Eur J Vasc Endovasc Surg. 2008;35(2):139–144
  22. Ascher E. United we stand: one voice, one powerful brand. J Vasc Surg. 2006;44(3):673–678
  23. Heikkinen M, Salenius JP, Auvinen O. Projected workload for a vascular service in 2020. Eur J Vasc Endovasc Surg. 2000;19:351–355
  24. Reed AB, Eidt JF. Vascular surgery resident operative experience 1999–2007: the need for alternative training modalities. J Vasc Surg. 2009;49(5) (Suppl. 1):22S
  25. Eslami MH, Csikesz N, Schanzer A, Messina LM. Peripheral arterial interventions: trends in market share and outcomes by specialty, 1998–2005. J Vasc Surg. 2009;50(5):1071–1078
  26. Schanzer A, Steppacher R, Eslami M, Arous E, Messina L, Belkin M. Vascular surgery training trends from 2001 to 2007: a substantial increase in total procedure volume is driven by escalating endovascular procedure volume and stable open procedure volume. J Vasc Surg. 2009;49(5):1339–1344
  27. Seeger JM. The training of vascular surgeons in the new era: primary certification and beyond. Overview Sem Vasc Surg. 2006;19:163–164
  28. Towne JB. Primary certification in vascular surgery: does this really mean?. Semin Vasc Surg. 2006;19:165–167
  29. Goldstone J, Wong V. New training paradigms and program requirements. Sem Vasc Surg. 2006;19:168–171
  30. Joesl CS, Langan EM, Cull DL, Kalbaugh CA, Taylor SM. Effects of increased vascular surgical specialization on general surgery trainees, practicing surgeons, and the provision of vascular surgical care. J Am Coll Surg. 2009;2008:692–699
  31. Sillesen H. Who should treat patients with peripheral arterial disease – the vascular specialist. Eur J Vasc Endovasc Surg. 2002;24(1):1–3
  32. Mills JL. Vascular surgery training in the United States: a half-century of evolution. J Vasc Surg. 2008;48:90S–97S
  33. DeWeese JA, Baker JD, Ernst CB, Veith FJ, Whittemore AD. Vision of the vascular surgeon as the vascular specialist of the future. J Vasc Surg. 1995;23(5):896–901
  34. Reed AB. Advanced training in vascular surgery: how does it need to change?. Semin Vasc Surg. 2006;19:191–193

☆ Presented at the XXIII Annual Meeting 3–6 September, 2009, European Society for Vascular Surgery, Oslo, Norway.

PII: S1078-5884(09)00648-0

doi: 10.1016/j.ejvs.2009.12.013

European Journal of Vascular & Endovascular Surgery
Volume 39 , Pages S15-S21 , March 2010

Article Tools

* Image Usage & Resolution